SOUTHEAST LUNG & CRITICAL CARE SPECIALISTS,P.C.


Address: 111 Colonial Way, Suite 3, Jesup, GA 31545-0130
Phone: 9126292290

SOUTHEAST LUNG & CRITICAL CARE SPECIALISTS,P.C. (NPI# 1770857468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770857468
Entity Type Organization
Organization Name SOUTHEAST LUNG & CRITICAL CARE SPECIALISTS,P.C.
Other Organization Name SOUTHEAST LUNG ASSOCIATES
Practice Address 111 Colonial Way
Suite 3
Jesup
GA 31545-0130
Mailing Address 340 Hodgson Ct
Suite #2
Savannah
GA 31406-1520
Practice Telephone 9126292290
Practice Fax Number 9126292291
Mailing Telephone 9126292290
Mailing Fax Number 9126292291
Enumeration Date 2012-02-28
Last Update Date 2014-01-23
Authorized Official Name APRIL YOUNG (PRACTICE ADMINISTRATOR)
Authorized Official Telephone 9126290457
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RP1001X Internal Medicine
Specialization: Pulmonary Disease
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
GA 000473833F 05
GA 000526336A 05

Other Provider/Organization Names

Other Name Type Code
Southeast Lung Associates Doing Business As Name - Organization

Office Location

Street Address 111 COLONIAL WAY
SUITE 3
City JESUP
State GA
Zip Code 31545-0130

Providers in the same location

NPI Name Taxonomy Address Enumeration
1700812633 Gary R Stern Internal Medicine 111 Colonial Way, Jesup, GA 31545-0130 2006-06-23
1619596418 Deanna Renee Hodges Registered Nurse 111 Colonial Way, Jesup, GA 31545-0130 2020-04-11
1811325376 Amber Brooke Boatright Howard Nurse Practitioner 111 Colonial Way, Jesup, GA 31545-0130 2013-10-21
1881944569 Applecare LLC Clinic/Center 111 Colonial Way, Jesup, GA 31545-0130 2012-09-11
1770806481 Cindy T Melton Physical Therapy Assistant 111 Colonial Way, Jesup, GA 31545-0122 2010-03-09
1588775621 Applecare of Jesup LLC Clinic/Center 111 Colonial Way, Jesup, GA 31545-0122 2006-08-31

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154922441 Southern Pharmacy Group LLC Pharmacy 110 Allison St., Jesup, GA 31545 2020-11-04
1093350118 Joseph Hires Physical Therapist 1064 N Macon St, Jesup, GA 31545 2019-11-13
1952866279 Scott's Transportation of Georgia, LLC Non-emergency Medical Transport (VAN) 3670 Waycross Hwy, Jesup, GA 31545 2019-02-01
1386035335 Shane's Crib Substance Abuse Rehabilitation Facility 1303 South 1st Street, Jesup, GA 31545 2015-02-12
1770839607 Sandra L. Mager, M.d.p.c. Obstetrics & Gynecology 114 W. Cherry Street, Jesup, GA 31545 2012-07-30
1427318617 Crandall Eye Physicians and Surgeons LLC Ophthalmology 136 W. Cherry St., Jesup, GA 31545 2012-05-21
1356615934 Andrea Brooke Meeks Assistant Behavior Analyst 1316 W Orange St, Jesup, GA 31545 2012-02-29
1932419736 Wilma R Cote Nurse Practitioner 391 South First St., Jesup, GA 31545 2010-10-14
1205144425 Air Evac Ems Inc Ambulance 148 Peach Tree Street, Jesup, GA 31545 2010-09-22
1881911451 Surgery Center of Bji, LLC Clinic/Center 112 Professional Court, Jesup, GA 31545 2010-04-22
Find all providers in zip 31545

Taxonomy Information

Taxonomy Code 207RP1001X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Pulmonary Disease

Taxonomy Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1588060446 Southeast Lung & Critical Care Specialists, PC Internal Medicine 166 Memorial Dr, Jesup, GA 31545-0101 2014-11-05
1922402122 Southeast Lung & Critical Care Specialists, PC Internal Medicine 230 Memorial Dr, Jesup, GA 31545-0102 2014-10-16
1447522743 Costrini & Meadows, PC Internal Medicine 131 Peachtree St, Jesup, GA 31545-0211 2012-02-01

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1194337592 Stefan Vincent Goldberg Internal Medicine 3239 Bolero Dr, Atlanta, GA 30341-5705 2020-08-18
1366064164 Southeast Lung & Critical Care Specialists Internal Medicine 1745 City Circle Rd, Baxley, GA 31513-7059 2020-05-14
1205474954 Tift Regional Health System, Inc Internal Medicine 1499 Kennedy Road, Suite A, Tifton, GA 31794-4177 2019-12-12
1659845790 Frank J Demarco Jr Md LLC Internal Medicine 4465 Nelson Brogdon Blvd, Buford, GA 30518-3487 2019-01-11
1063915338 Trident Pulmonary and Critical Care PC Internal Medicine 483 Upper Riverdale Rd Sw Ste E, Riverdale, GA 30274-2579 2018-03-13
1194235853 Covenant Medical Group LLC Internal Medicine 3605 Sandy Plains Rd Ste 240-235, Marietta, GA 30066-3068 2017-10-09
1235659814 Southeast Lung & Criticial Care Specialists, PC Internal Medicine 5356 Reynolds St Ste 303, Savannah, GA 31405-6018 2017-06-23
1619355427 Southeast Lung & Critical Care Specialists, PC. Internal Medicine 400 Cedar St Ste 106, Candler County Hospital, Metter, GA 30439-3338 2015-05-13
1770989154 Southeast Lung & Critical Care Specialists, PC Internal Medicine 800 East 68th Street, Landmark Hospital, Savannah, GA 31405 2014-11-12
1407267511 Akshay Bhatnagar Internal Medicine 2301 Newnan Crossing Blvd E Ste 200, Newnan, GA 30265-2576 2014-05-12
Find all providers with the same taxonomy

Competitor

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City JESUP
Zip Code 31545

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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